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416 2nd Street <br /> LEAK DETECTOR <br /> Afforda-Te$t Galt,California 95632 - <br /> Q091 744-0112 800 524-9087 FAX 209 744-0116 TEST REPORT <br /> Owner/Contractor/Eng: TEST DATE: ( ENVIRONMENTAL HEALTH AGENCY: <br /> SITE NAME: I L <br /> o/ ZCIfL6 A. Nif''lmO <br /> Present Not Present <br /> Phone: / TECH SIGNATURE.4 INSPECTOR NAME: <br /> 012erator Name: OTTL # 04 W6 ICC# 5263322-UT <br /> LEAK DETECTOR KEY <br /> A LD2000 C FE Petro STP-MLD G Red Jacket FXIV <br /> LD2000/E D FE Petro STP-MLD-E H Red Jacket FXIVD <br /> E FE Petro STP-MLD-D <br /> F FE Petro STP-MLD-DE J Other <br /> FTA LEAK DETECTOR TEST INFOR ATION Calibratedto <br /> 10 si <br /> Dispenser Product LD Key Serial# Resiliency Opening Test Leak Rate Functional Metering PSI <br /> Number Time Element <br /> fromabove in seconds ML per Minute Holding PSI Pass/Fail <br /> (J b 3 1 SJ7 `� S "Z -5 P F <br /> P/F <br /> r O <br /> �y P/F <br /> 8® <br /> F/F <br /> / i l goi7i 0 <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br /> P/F <br />